Figueroa, J. Peter; Ward, Elizabeth; Morris, Joanne S.; Brathwaite, Alfred R.; Peruga, Armando; Blattner, William A.; Vermund, S. H.; Hayes, Richard J.
Author Affiliation, Ana.
Community Health and Psychiatry; Medicine
Incidence of HIV and HTLV-1 infection among sexually transmitted disease clinic attenders in Jamaica.
Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology
Date of Publication
Of 970 sexually transmitted disease (STD) patients enrolled at the Comprehensive Health Centre, Kingston, Jamaica, between November 1990 and January 1991, 710 (73 percent, 333 men and 377 women) were reexamined between January 1992 and July 1993 to estimated the incidence of HIV and HTLV-1 infection and to identify risk factors for infection. Of those reexamined, 20 percent were recruited passively when they returned to the clinic of their own accord, and 80 percent were recruited actively through field visits to their homes. Passively recruited persons were significantly more likely than active recruits to have had a sexually transmitted disease since enrollment or at their follow-up visit. Seven men and one woman became HIV positive during the period of follow-up. The overall HIV incidence rate was 0.7 per 100 person years (95 percent confidence interval [CI] = 0.3 to 1.4 (CI = 0.6 to 2.8) for men and 0.2 (CI = 0.004 to 0.9) for women. Four of 270 men and 4 of 318 women were HTLV-1 positive, and overall incidence of 0.9 per 100 person years (CI = 0.4 to 1.7), 1.0 for men and 0.8 for women....